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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257•8857 wv,nv.everelhva org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PR07FRTY TA1(C PERMIT M <br /> i s � , , r�, o -vo <br /> LEGAL tor newconsnucbon Shon PiaUsu�mvis�on Lo�No laltacn copY ollor.g Iegal ee;a�pt�on) <br /> OWNER �V�Rrii �Ouy,�16 �c�A�iJQL7'�� PnoneiE�ma�l ��Q. y —/ (� <br /> ACO�ess �Q ��� /q L � GlylStale/Zrp [,'(�L�C/� u/�• �p(�� <br /> APPLICANT: O�sne� OwnersAqent Contraclo� Conbac�o�'sAgent TC�a�ilry+�po.aeae•e�oiwiu�icont+evwe�•aaa.o�nouspam� <br /> coNrr�ncroR �,ilE uyls'C-,p'�7Aiii� S �G+6��tl �a i i�c a/�C�l.11 S/G S�(aG coe s�: u� s % 0 <br /> AaEress 3Ff(� S/YI!!1/ �. 6 . rJl /.(��. Pnane.�Ema�i �—.3Q3-g//�Q <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �,2�C mA✓��� _ <br /> L�/ �( `n� ��J�7 r� J <br /> `�fiV ��(.�(.�5/�J �4� Pnone�Ema,l J �'��28 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� D .O(J �ll 'U/� <br /> EeislmgUseofBudd.ng �CSL��Ul7/f� /��'����� H�EA�TSOURCE�. <br /> PrcpOsetl Use of 6udGing SAn7e /�5 /= e Gas_(/Elenr¢_ O;ner___ <br /> Bw!Amg rype. _.S/�9gic Family _Duplex_Townhouse _ tulti-Famdy _Commertial <br /> Type ol project (/ Nc�v Add�t�on Remodel Hepart 7 I Sign__Spnnklcr_Demolition Change ol Use <br /> DESCRIPTIONOFWORKtaaemonarsaarepro:�ee�on;neoacFi �C�_ /J,Q��T ty2v/,3"O/ �e.?�dve <br /> eus�o�vre2 c�,3r,;�6 Q �,�i�;�ve �S /-aQrV9CG yU5/7�'/ �Je°itl G'/�S h..PrCl9('i� <br /> C asr��ne/2 s�y�,��,J r,�a4s,L� �,� r��e �v�/o�v�w� .y���y✓r��ravJ i�er�.c�/,�' <br /> �/e.�c�J �AsP;o,;c�� GAS�t� - TAc'i- �.s,- .t1�uJ <br /> , <br /> MECHANICAL PERMIT A.'PLIC TION PLUM6ING PERMIT APPLICATION <br /> Type ol Pwjecl: _ ew_AtlOn _Alterallon_Hepair Type ot Project: _New_AOtln _Alleratlon_Repair <br /> Show NumOcr�n)o!lirfures Show NumErrlp of linwrs <br /> A/C—au handling units Toi!el <br /> Forced art syslems �a1hWb <br /> Gas o�P�nq Lavatory(�5ast�bas�n) <br /> 1N]IC!h[illBf SbOwOf <br /> Gas firepl�ce Kdchen sink 8 dispo,al <br /> Gas range ��shwasher <br /> Clothes Oryer Ciothes was�er <br /> Ra�gc hood VJ;tler heatcr <br /> EKhaust fan Smk (servicc�bar/mop/etC) <br /> Meat pump Uackllow preventcr <br /> Un�l heater Ur�nal <br /> BoOer Dnnkm9 Fauntain <br /> Rchigeialion floor drain <br /> VJoodstove Grease Irap <br /> Duclmq Rool drams <br /> Olhe� Med¢al Gas <br /> SPRINKLER /SUPPRESSION SYSTEM otner. <br /> Number ol Heads Othcr. <br /> I�crc0y<endy I�al I nave rea0 anE c.am�nc0 inis appuwlion and lnow IM10 snma lo Oa Vuu and mrteU �II p�orisions ol ta�.s a�0 cra�n,n�en 6mem.np Riu typo ol woM1 x+A Ee comC�eU <br /> wnl�nremer speufie��eiein or nol.T�o OranLrp pl a pamd tloes nol presumo lo prce nul�on:y lo NOU!e or cuncrl lne frmison ol nny cme�slale o�Ipcal Uw IppuUl:ng ronslmclron <br /> T�al I am aulnonte0�y Ino awncr al mis pmperty lo DeNortn IOc xaM lor wntn appb.cawn b maac onC 1 compN h:n inc Sla;c Conr,�uon Lnw t B 27 HCtY an�796.00�i\VPG <br /> � ,��� ��°� <br /> �� Owner/Authodic en[Si9nalure Oate fRerrseO 62012) <br />